﻿<%@ Page Title="" Language="C#" MasterPageFile="~/Main.Master" AutoEventWireup="true" CodeBehind="xRegistration.aspx.cs" Inherits="UIDocument.xRegistration" %>
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<asp:Content ID="Content2" ContentPlaceHolderID="ContentPlaceHolder1" runat="server">
    <table align="center" border="0" cellpadding="0" cellspacing="0" style="width: 442px">
            <tbody><tr>
                <td width="26">
                    </td>
                <td >
                    &nbsp;<span id="lblMsg" style="color: red; display: none;"></span></td>
                <td width="26">
                    &nbsp;</td>
            </tr>
            <tr>
                <td background="/Quick Links/Portalimages/transBG_12.png" width="26">
                    &nbsp;</td>
                <td background="/Quick Links/Portalimages/transBG_22.png">
                    <div id="pnl" style="z-index: 860;">
	
                        <table style="width: 714px; border-collapse: collapse" border="1" cellpadding="4" cellspacing="0" bordercolor="#cdcdcd">
                            <tbody><tr>
                                <td style="font-size: 22px;">
                                        Online Documentation</td>
                            </tr>
                            <tr>
                                <td>
                                    <fieldset>
                                        <legend style="font-family: Tahoma; font-size: 11pt"><strong style="color: #990000">
                                            PERSONAL DETAILS</strong></legend>
                                        <table style="width: 100%; border-collapse: collapse" border="1" cellpadding="4" cellspacing="0" bordercolor="#cdcdcd">
                                            <tbody><tr>
                                                <td style="width: 128px">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>First
                                                        name</strong><span class="fieldreq" style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtfname" type="text" id="txtfname" tabindex="0"></td>
                                                <td style="width: 100px">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>Last name
                                                    </strong><span style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtlastname" type="text" id="txtlastname" tabindex="1"></td>
                                            </tr>
                                            <tr>
                                                <td style="width: 128px">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>Mother Name
                                                        </strong><span style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtemail" type="text" id="txtmothername" tabindex="2"></td>
                                                <td style="width: 100px">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">Father Name</span>
                                                    </strong><font size="1"><span class="fieldreq" style="color: #cc0000; font-family: Tahoma">
                                                        *</span></font></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtmob" type="text" maxlength="10" id="txtfathername" 
                                                        onkeypress="return NumericBox(this,event,false);" tabindex="3"></td>
                                            </tr>

                                               <tr>
                                                <td style="width: 128px">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>Date Of Birth
                                                        </strong><span style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 140px">
                                                   <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong> 
                                                    <input name="txtemail" type="text" id="txtdateofbirth" readonly ="readonly"> </strong></span></span></span></td>
                                                <td style="width: 140px">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">Village/Colony</span>
                                                    &nbsp;</strong><font size="1"><span class="fieldreq" style="color: #cc0000; font-family: Tahoma">*</span></font></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtmob" type="text" maxlength="10" id="txtvillage" 
                                                        onkeypress="return NumericBox(this,event,false);" tabindex="4"></td>
                                            </tr>


                                              <tr>
                                                <td style="width: 128px">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>Pin Code
                                                       </strong><span style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtemail" type="text" id="txtpincode" tabindex="5"></td>
                                                <td style="width: 100px">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">State</span>
                                                    </strong><font size="1"><span class="fieldreq" style="color: #cc0000; font-family: Tahoma">
                                                        *</span></font></span></td>
                                                <td style="width: 100px">
                                                    <select name="DropDownList1" id="selectstate" style="width:188px;" tabindex="6">
		<option value="S">select</option>
		<option value="29">Andaman and Nicobar Islands</option>
		<option value="1">Andra Pradesh</option>
		<option value="2">Arunachal Pradesh</option>
		<option value="3">Assam</option>
		<option value="4">Bihar</option>
		<option value="30">Chandigarh</option>
		<option value="5">Chhattisgarh</option>
		<option value="31">Dadar and Nagar Haveli</option>
		<option value="32">Daman and Diu</option>
		<option value="33">Delhi </option>
		<option value="6">Goa</option>
		<option value="7">Gujarat</option>
		<option value="8">Haryana</option>
		<option value="9">Himachal Pradesh</option>
		<option value="10">Jammu and Kashmir</option>
		<option value="11">Jharkhand</option>
		<option value="12">Karnataka</option>
		<option value="13">Kerala</option>
		<option value="34">Lakshadeep</option>
		<option value="14">Madhya Pradesh</option>
		<option value="15">Maharashtra</option>
		<option value="16">Manipur</option>
		<option value="17">Meghalaya</option>
		<option value="18">Mizoram</option>
		<option value="19">Nagaland</option>
		<option value="20">Orissa</option>
		<option value="36">Others</option>
		<option value="35">Pondicherry</option>
		<option value="21">Punjab</option>
		<option value="22">Rajasthan</option>
		<option value="23">Sikkim</option>
		<option value="24">Tamil Nadu</option>
		<option value="25">Tripura</option>
		<option value="27">Uttar Pradesh</option>
		<option value="26">Uttaranchal</option>
		<option value="28">West Bengal</option>

	</select></td>
                                            </tr>

                                            <tr>
                                                <td style="width: 128px">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>
                                                    City 
                                                      </strong><span style="color: #cc0000"*</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <select name="DropDownList2" id="selectcity" style="width:188px;" tabindex="7">
		<option value="S">select</option>
		<option value="29">Andaman and Nicobar Islands</option>
		<option value="1">Andra Pradesh</option>
		<option value="2">Arunachal Pradesh</option>
		<option value="3">Assam</option>
		<option value="4">Bihar</option>
		<option value="30">Chandigarh</option>
		<option value="5">Chhattisgarh</option>
		<option value="31">Dadar and Nagar Haveli</option>
		<option value="32">Daman and Diu</option>
		<option value="33">Delhi </option>
		<option value="6">Goa</option>
		<option value="7">Gujarat</option>
		<option value="8">Haryana</option>
		<option value="9">Himachal Pradesh</option>
		<option value="10">Jammu and Kashmir</option>
		<option value="11">Jharkhand</option>
		<option value="12">Karnataka</option>
		<option value="13">Kerala</option>
		<option value="34">Lakshadeep</option>
		<option value="14">Madhya Pradesh</option>
		<option value="15">Maharashtra</option>
		<option value="16">Manipur</option>
		<option value="17">Meghalaya</option>
		<option value="18">Mizoram</option>
		<option value="19">Nagaland</option>
		<option value="20">Orissa</option>
		<option value="36">Others</option>
		<option value="35">Pondicherry</option>
		<option value="21">Punjab</option>
		<option value="22">Rajasthan</option>
		<option value="23">Sikkim</option>
		<option value="24">Tamil Nadu</option>
		<option value="25">Tripura</option>
		<option value="27">Uttar Pradesh</option>
		<option value="26">Uttaranchal</option>
		<option value="28">West Bengal</option>

	</select></td>
                                                <td style="width: 100px">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">Mobile No..</span>
                                                    </strong><font size="1"><span class="fieldreq" style="color: #cc0000; font-family: Tahoma">
                                                        *</span></font></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtmob" type="text" maxlength="10" id="txtmobileno" 
                                                        onkeypress="return NumericBox(this,event,false);" tabindex="8"></td>
                                            </tr>



                                             <tr>
                                                <td style="width: 128px">
                                                    <span><span style="font-family: Tahoma"><span style="font-size: 10pt"><strong>E-mail&nbsp; 
                                                    Address&nbsp; </strong><span style="color: #cc0000">*</span></span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtemail" type="text" id="txtemailaddress" tabindex="9"></td>
                                                <td style="width: 100px">
                                                    <span style="font-size: 10pt"><strong><span style="font-family: Tahoma">User Id </span>&nbsp;</strong><font size="1"><span class="fieldreq" style="color: #cc0000; font-family: Tahoma">*</span></font></span></td>
                                                <td style="width: 100px">
                                                    <input name="txtmob" type="text" maxlength="10" id="txtuserid" 
                                                        onkeypress="return NumericBox(this,event,false);" tabindex="10"></td>
                                            </tr>



                                            <tr>
                                                <td style="width: 128px">
                                                    <span style="font-size: 10pt"><span style="font-family: Tahoma"><strong>Password </strong>
                                                        <span style="color: #cc0000">*</span></span></span></td>
                                                <td style="width: 90px">
                                                    <input name="txtemail0" type="text" id="txtpassword" tabindex="11"></td>
                                                <td style="width: 140px">
                                                   <span><strong>Confirm Password :</strong>
                                                   </span>
                                                    &nbsp;</td>
                                                <td style="width: 100px">
                                                    <input name="txtemail1" type="text" id="txtconfirmpassword" tabindex="12"></td>
                                            </tr>

                                            <tr>
                                                <td style="width: 128px">
                                                    <span style="font-size: 10pt"><span style="font-family: Tahoma"><strong> </strong>
                                                        <span style="color: #cc0000"></span></span></span></td>
                                                <td style="width: 90px">
                                                <span style="font-family: Tahoma">
                                                <strong>
                                                    <input name="txtemail0" type="button" id="Text6" value="Submit" tabindex="13" style=" font-weight:bold;" ></strong></span></td>
                                                <td style="width: 140px">
                                                   <span style="font-family: Tahoma"><strong><input type="button" id ="" name ="" 
                                                        value="Cancel" tabindex="14" style=" font-weight:bold;" /></strong>
                                                   </span>
                                                    </td>
                                                <td style="width: 100px">
                                                    <span><strong></strong>
                                                    </span>
                                                    </td>
                                            </tr>
                                        </tbody></table>
                                    </fieldset>
                                </td>
                            </tr>
                            <tr>
                                <td style="height: 21px">
                                   
                                </td>
                            </tr>
                        </tbody></table>
                    
</div>
                </td>
                <td background="/Quick Links/Portalimages/transBG_14.png" width="26">
                    &nbsp;</td>
            </tr>
            <tr>
                <td width="26">
                    &nbsp;</td>
                <td background="/Quick Links/Portalimages/transBG_18.png">
                    &nbsp;</td>
                <td width="26">
                    &nbsp;</td>
            </tr>
        </tbody></table>

        <script type ="text/javascript">
            function validation(input,msg) {
            var value =$("#input").val();
            if (val == "") {
                alert(msg);
                $("#input").focus();
            }
            }
         </script>
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